Evaluation of the COVID-19 pandemic process effect on the increase of Precocious Puberty and Premature Thelarche
Abstract
Objective :To determinate COVID-19 pandemic process effect on the increase of Precocious Puberty and Premature Thelarche
Material and Methods: Total 60 girls, younger than 8 years old, who complaint with breast development. Medical history and physical examination findings, bone age, free T4, TSH, FSH, LH, estradiol levels of patients were recorded in their first visits. According to LHRH test results patients were divided to subgroups such as PT and CPP. Differences in the use of technological tools were recorded before and during the pandemic
Results: Higher Body Mass Index (BMI) (P=0.033), bone age (P<0.001) basal LH (P<0.001), basal FSH (P<0.001), basal estradiol (P<0.001) in cases with central puberty precocious level was detected. There was no difference between the two groups in terms of age and weight.
Compared to the pre-pandemic period, there was a significant increase in the use of technological tools (smartphone, computer, television) in both groups. In cases with PT, it was 2.54 ±0.65 hours/day before the pandemic and 6.22±1.25 hours/day during the pandemic (p<0.001), in cases with Spp it was 2.7 ±0.46 hours/day before the pandemic, 7.36±1.36 hours/day during the pandemic (p<0.001). The main reason for using technological tools was school lessons (4.6 ± 1.2 hours/day in cases with Pt, 5±1.2 hours/day in cases with Spp p =0.393).
Conclusion: In our study, it was observed that there was a significant increase in the use of technological devices and puberty symptoms started at a younger age in both groups after the pandemic. It was thought that environmental factors such as weight and increased use of electronic devices triggered the onset of puberty and the rate of progression.
Keywords
References
- 1) Partsch CJ, Heger S, Sippell WG. Management and outcome of central precocious puberty. Clin Endocrinol 2002; 56: 129-48.
- 2)Wheeler MD. Physical changes of puberty. Endocrinol Metab Clin North Am 1991;20: 1-14.
- 3) Parent AS, Teilmann G, Juul A,et al. The timing of normal puberty and the age limits of sexual precocity: variations around the world, secular trends, and changes after migration. Endocr Rev. 2003;24(5):668-93.
- 4) Sharma JC. The genetic contribution to pubertal growth and development studied by longitudinal growth data on twins. Ann Hum Biol. 1983;10(2):163-71. 5) Üstün Ç, Özçiftçi S. COVID-19 Pandemisinin sosyal yaşam ve etik düzlem üzerine etkileri: Bir değerlendirme çalışması. Anadolu Kliniği Tıp Bilimleri Dergisi, 2020;25(1), 142-153.
- 6) Caoa, W, Fanga, Z, Houc, G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 2020; 287(112934), 1-5.
- 7) Vanderloo LM, Carsley S, Aglipay M,et al. Applying Harm Reduction Principles to Address Screen Time in Young Children Amidst the COVID-19 Pandemic. J Dev Behav Pediatr. 2020 Jun/Jul;41(5):335-336.
- 8) Aktaş B, Daştan NB. Covid-19 pandemisinde üniversite öğrencilerindeki oyun bağımlılığı düzeyleri ve pandeminin dijital oyun oynama durumlarına etkisi. Bağımlılık Dergisi, 2021; 22(2), 129-138.
- 9) Neyzi O, Gunoz H, Furman A, et al. Weight, height, head circumference and body mass index references for Turkish children. Cocuk Sağlığı ve Hastalıkları Dergisi 2008; 51,1-14.
- 10) Neyzi O, Furman A, Bundak R,et al. Growth references for Turkish children aged 6 to 18 years. Acta Paediatr 2006;95,1635-41.
- 11) Bundak R, Furman A, Gunoz H,et al. Body mass index references for Turkish children. Acta Paediatr 2006; 95.194-198.